Petersen Alan
School of Sociology, Politics and Law, Plymouth, UK.
Soc Sci Med. 2006 Jul;63(1):32-42. doi: 10.1016/j.socscimed.2005.11.068. Epub 2006 Jan 23.
In recent years, there have been growing expectations about the future benefits deriving from the uptake of genetics knowledge in healthcare. At the same time, there have been increasing calls to make greater use of patient expertise in treatment. However, relatively little is known about the experiences, needs and expertise of those who currently have a genetic condition. Drawing on the findings from an Australian study involving 21 semi-structured interviews with members of support groups which represent those with various genetic conditions (cystic fibrosis, haemochromatosis, haemophilia, and thalassaemia) this article discusses how individuals learn about, live with and manage their condition, and assesses the extent to which their experiences differ from those with other chronic illness conditions. It argues that while the experiences of individuals who have a genetic condition would appear to be similar in many respects to those with other chronic illnesses, they tend to encounter particular challenges in managing their condition due to its inheritable nature.
近年来,人们对医疗保健领域应用遗传学知识所带来的未来益处的期望不断增加。与此同时,越来越多的人呼吁在治疗中更多地利用患者的专业知识。然而,对于目前患有遗传病的人的经历、需求和专业知识,我们了解得相对较少。本文借鉴了一项澳大利亚研究的结果,该研究对代表患有各种遗传病(囊性纤维化、血色素沉着症、血友病和地中海贫血)的支持小组成员进行了21次半结构化访谈,讨论了个体如何了解、应对和管理自己的病情,并评估了他们的经历与其他慢性病患者的经历存在多大差异。文章认为,虽然患有遗传病的个体的经历在许多方面似乎与其他慢性病患者相似,但由于其遗传性质,他们在管理病情时往往会遇到特殊挑战。